OAKHURST ENDOSCOPY ASC LLC NPI 1205809795

NPI Information

NPI: 1205809795
Provider Name: OAKHURST ENDOSCOPY ASC LLC
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
Doing Business As: OCEAN SURGICAL PAVILION, INC.
CLIA Number: 31D1010230
Address: 1907 HIGHWAY 35
SUITE 9
OAKHURST, NJ
ZIP 07755
Phone: (732) 517-8885

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NPI Details

OAKHURST ENDOSCOPY ASC LLC is an ambulatory surgical clinic center in Oakhurst, NJ. OAKHURST ENDOSCOPY ASC LLC NPI is 1205809795. The provider is registered as an organization entity type.
The provider Is Doing Business As Ocean Surgical Pavilion, Inc..

The provider's business location address is:

1907 HIGHWAY 35
SUITE 9
OAKHURST, NJ
ZIP 07755-765
Phone: (732) 517-8885
Fax: (732) 517-0304

The provider's authorized official is Phillip Clendenin .
The authorized official title is Chief Manager Of Llc and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 31D1010230 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 9/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	NONE REQUIRED	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3385809	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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